Thomas B Clark (NPI# 1245301894, PAC ID# 7810050002) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
Nation Provider ID (NPI) | 1245301894 |
PAC ID by PECOS | 7810050002 |
Professional Enrollment ID | I20170315001962 |
Full Name | Thomas B Clark |
Organization Legal Name | BANNER ANESTHESIOLOGISTS COLORADO LLC |
Address |
615 Fairhurst St Sterling CO 80751-4523 |
Phone Number | 9705265555 |
Gender | M |
Graduation Year | 2006 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
Group Practice PAC ID | 1759527989 |
Number of Group Practice Members | 71 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
060076 | STERLING REGIONAL MEDCENTER |
180067 | UNIVERSITY OF KENTUCKY HOSPITAL |
Address | Phone | Organization |
---|---|---|
Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 | 9287298256 | FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION |
310 S Limestone, Lexington, KY 40508-3008 | 6062526612 | COMMONWEALTH ANESTHESIA, PSC |
615 Fairhurst St, Sterling, CO 80751-4523 | 9705265555 | BANNER ANESTHESIOLOGISTS COLORADO LLC |
Organization Legal Name | BANNER ANESTHESIOLOGISTS COLORADO LLC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary M Mcclellan | Certified Registered Nurse Anesthetist | Banner Anesthesiologists Colorado LLC | 2000 Boise Ave, Loveland, CO 80538-5006 |
Vicki Callahan | Anesthesiology | Banner Anesthesiologists Colorado LLC | 1801 16th St, Greeley, CO 80631-5154 |
Gayle G Hill | Certified Registered Nurse Anesthetist | Banner Anesthesiologists Colorado LLC | 1801 16th St, Greeley, CO 80631-5154 |
Shelly L Ross | Certified Registered Nurse Anesthetist | Banner Anesthesiologists Colorado LLC | 1801 16th St, Greeley, CO 80631-5154 |
Alan W Lloyd | Anesthesiology | Banner Anesthesiologists Colorado LLC | 1801 16th St, Greeley, CO 80631-5154 |
Paula J Sylvester | Certified Registered Nurse Anesthetist | Banner Anesthesiologists Colorado LLC | 1801 16th St, Greeley, CO 80631-5154 |
Street Address |
615 FAIRHURST ST |
City | STERLING |
State | CO |
Zip | 80751-4523 |
Name | Specialty | Organization | Address |
---|---|---|---|
Craig H Van Schooneveld | Family Medicine | Sterling Regional Medcenter | 615 Fairhurst St, Sterling, CO 80751-4523 |
Sarah E Fredriksson | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Colorado LLC | 615 Fairhurst St, Sterling, CO 80751-4523 |
Timothy Bresnahan | Internal Medicine | Red Mountain Internal Medicine | 615 Fairhurst St, Sterling, CO 80751-4523 |
Tom Ashar | Emergency Medicine | Emergency Professionals of Colorado PC | 615 Fairhurst St, Sterling, CO 80751-4523 |
Candice Ann Sobanski | Emergency Medicine | Emergency Professionals of Colorado PC | 615 Fairhurst St, Sterling, CO 80751-4523 |
Lauren Michelle Abbate | Emergency Medicine | Emergency Professionals of Colorado PC | 615 Fairhurst St, Sterling, CO 80751-4523 |
Jeffrey B Toups | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Colorado LLC | 615 Fairhurst St, Sterling, CO 80751-4523 |
Bonnie L Hablutzel | Nurse Practitioner | Sterling Regional Medcenter | 615 Fairhurst St, Sterling, CO 80751-4523 |
Lauren E Gerk | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Colorado LLC | 615 Fairhurst St, Sterling, CO 80751-4523 |
Pamola Gale | Nurse Practitioner | Banner Hospital Based Physicians Colorado LLC | 615 Fairhurst St, Sterling, CO 80751-4523 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Kieutrinh C Geis | Podiatry | Preferred Podiatry Group PC | 1330 Sidney Ave, Sterling, CO 80751-2241 |
Keri A Mckay | Physician Assistant | Sterling Regional Medcenter | 102 Hays Ave, Sterling, CO 80751-2866 |
Aniecia Victoria Hicks | Physician Assistant | Sterling Regional Medcenter | 102 Hays Ave, Sterling, CO 80751-2866 |
Amanda B Nichols | Family Medicine | Sterling Regional Medcenter | 102 Hays Ave, Sterling, CO 80751-2866 |
Jessyca R Bridges | Physician Assistant | Sterling Regional Medcenter | 102 Hays Ave, Sterling, CO 80751-2866 |
Keli A Sherman | Physician Assistant | Sterling Regional Medcenter | 102 Hays Ave, Sterling, CO 80751-2866 |
Helene Christner | Nurse Practitioner | Sterling Regional Medcenter | 102 Hays Ave, Sterling, CO 80751-2866 |
Kris A Morrison | Chiropractic | 131 N 6th Ave, Sterling, CO 80751-2901 | |
Robert R Segerstrom | Psychologist, Clinical | 601 W Main St, Suite 1, Sterling, CO 80751-2964 | |
Todd L Wolfley | Optometry | 419 W Main St, Sterling, CO 80751-3033 | |
Find all physicians in zip 80751 |
City | STERLING |
Zip Code | 80751 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
City + Specialty | STERLING + CERTIFIED REGISTERED NURSE ANESTHETIST |
Please comment or provide details below to improve the information on Thomas B Clark.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.